A retrospective chart review of 5 years of the perioperative management of Priority 1 AAA ruptures at The Ottawa Hospital was conducted with research ethics board approval. Of 145 reviewed cases, there was a 64% survival rate. The use of plasma occurred in over 75% of patients and over 99% of patients were exposed to allogeneic blood products. Plasma use was associated with poor outcomes and served as a marker for cases with higher blood loss and blood product exposure. The use of plasma was however consistent with the present recommendations and thus appeared to be reactive in nature, rather than proactive use.